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This form is intended to gather information from parties who would like to be contacted by our office to inquire about potential services.  Do not include any medical requests, medical questions, or any medical information in this form. By submitting this form, you are agreeing to be contacted by Dr. Mary Singeltary, LLC.  

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Dr. Mary Singeltary, LLC

Child & Adolescent Psychiatrist

TeleHealth

8050 Beckett Center Drive

Suite 121

West Chester, OH 45069

Tel: 513-820-0500

Fax: 724-218-3311

Hours:

Mon - Thurs: 9am - 5pm

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